NPIMap

Organization Active NPI

Life Residential LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1811473317
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11001 Issued in FL
Legal business name
LIFE RESIDENTIAL LLC
Practice address
13431 S.W. 178 St.
Miami, FL 33177
Phone
(305) 971-3628
Fax
(305) 602-3165
NPI assigned
Jul 17, 2018
Last updated
Dec 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sindy Leyras Castro
Title
Owner
Phone
(786) 322-0603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11001 FL Primary

Addresses

Primary practice location

13431 S.W. 178 St.
Miami, FL 33177

Mailing address

13431 S.W. 178 St.
Miami, FL 33177
Phone (305) 971-3628

Other identifiers 1

IdentifierTypeStateIssuer
100350200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1811473317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13431 S.W. 178 ST.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33177",
            "telephone_number": "305-971-3628",
            "fax_number": "305-602-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13431 S.W. 178 ST.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33177",
            "telephone_number": "305-971-3628",
            "fax_number": "305-602-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "LEYRAS CASTRO",
        "authorized_official_first_name": "SINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-322-0603"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100350200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.